Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, August 1, 2023

University Hospitals nationally recognized for commitment to high-quality stroke care

Anytime I see 'care' in any press release I know the hospital is not willing to disclose actual results because they are so fucking bad, it wouldn't look good, so misdirection is used. Don't fall for that misdirection!

Big fucking whoopee.

 

 But you tell us NOTHING ABOUT RESULTS. They remind us they 'care' about us multiple times but never tell us how many 100% recovered.  You have to ask yourself why they are hiding their incompetency by not disclosing recovery results.  ARE THEY THAT FUCKING BAD?


Three measurements will tell me if the stroke hospital is possibly not completely incompetent; DO YOU MEASURE ANYTHING?  I would start cleaning the hospital by firing the board of directors, you can't let incompetency continue for years at a time.

There is no quality here if you don't measure the right things.

  1. tPA full recovery? Better than 12%?
  2. 30 day deaths? Better than competitors?
  3. rehab full recovery? Better than 10%?

 

You'll want to know results so call that hospital president(whomever that is) RESULTS are; tPA efficacy, 30 day deaths, 100% recovery. Because there is no point in going to that hospital if they are not willing to publish results.

In my opinion this cert allows stroke hospitals to continue with their tyranny of low expectations and justify their complete failure to get survivors 100% recovered. Prove me wrong, I dare you in my stroke addled mind. If your stroke hospital goal is not 100% recovery you don't have a functioning stroke hospital.

All you ever get from hospitals are that they are following guidelines; these are way too static to be of any use. With thousands of pieces of stroke research yearly it would take a Ph.D. level research analyst to keep up, create protocols, and train the doctors and therapists in their use. 

If your stroke hospital doesn't have that, you don't have a well functioning stroke hospital, you have a dinosaur. 

Read up on the guidelines yourself.

“What's measured, improves.” So said management legend and author Peter F. Drucker 


 The latest invalid chest thumping here:

 

University Hospitals nationally recognized for commitment to high-quality stroke care


CLEVELAND — University Hospitals has received numerous American Heart Association/American Stroke Association Get With The Guidelines Stroke awards.

The awards demonstrate commitment to the latest, research-based guidelines for the treatment of stroke, ultimately leading to more lives saved, shorter recovery times and fewer readmissions to the hospital.

“University Hospitals is committed to improving care by adhering to the latest treatment guidelines and streamlining processes to ensure timely and proper care for patients with stroke,” said Dr. Cathy Sila, chair of the Department of Neurology at University Hospitals and Case Western Reserve University School of Medicine, and the Gilbert W. Humphrey Endowed Professor of Neurology.

“The Get With The Guidelines program makes it easier for our teams to put proven knowledge and guidelines to work daily, which helps us ensure more people in Cleveland and surrounding areas can live longer, healthier lives,” she said. “We are proud to be recognized for our efforts this year, and are especially proud of our rural hospitals who have made it a goal to ensure certain hurdles, like transportation times and staffing, do not affect the standard of care our patients receive.”

The awards recognize hospitals that demonstrate at least 85 percent compliance in each of the seven Get With The Guidelines- Stroke Achievement Measures. Tier levels are determined by the length of demonstrated performance.

The following local UH hospitals received these American Heart Association levels of achievement this year:

• Get With The Guidelines – Stroke Gold Plus and Target: Stroke Honor Roll

75 percent of applicable patients experiencing door to needle times of 60 minutes or less

· UH Geauga Medical Center, a campus of UH Regional Hospitals

· Western Reserve Hospital (a joint-venture hospital)

• Get With The Guidelines – Stroke Gold Plus

· UH Elyria Medical Center

· UH Geneva Medical Center

• Get with The Guidelines – Stroke Silver Plus

Silver recognizes performance of 12 consecutive months or more. Silver Plus awards are advanced levels of recognition acknowledging hospitals for consistent compliance with quality measures.

· UH Conneaut Medical Center

• Get With The Guidelines – Rural Stroke Bronze (new award category this year)

This award recognizes hospitals for their efforts toward acute stroke care excellence demonstrated by composite score compliance to guideline-directed care for intravenous thrombolytic therapy, timely hospital inter-facility transfer, dysphagia screening, symptom timeline and deficit assessment documentation, emergency medical services communication, brain imaging and stroke expert consultation.

· UH Conneaut Medical Center

· UH Geneva Medical Center

· UH Samaritan Medical Center

UH Ahuja, Cleveland, Elyria, Geauga, Geneva, Parma, Portage, Samaritan, and St. John medical centers, as well as Southwest General Health Center and Western Reserve Hospital received Target: Type 2 Diabetes℠ Honor Roll awards.

These awards recognize hospitals for providing the most up-to-date, evidence-based care for patients with type 2 diabetes who are hospitalized with heart failure, heart attack or stroke.

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